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SAO, ALO, and presumably GGO as well have all been shown to have "rolling health, where, after taking damage, it takes several seconds to drop down to that point, so even with a lethal blow, a player...

Argh... it's not about the game. You keep framing the issue as "PKing someone in a game VS. Saving someones life!" but the issue is "Betraying and turning your back on a friend VS. some flimsy chance...

As a note, there are still plenty of MMOs out there that aren't "Pay to Win." Guild Wars 2 for instance, requires only the investment of the original game with no subscription, and the only cash shop...